42 CFR 411.2 - Conclusive effect of QIO determinations on payment of claims.

Regulations last checked for updates: May 31, 2024

Title 42 - Public Health last revised: May 13, 2024

View all text of Subpart A [§ 411.1 - § 411.15]

§ 411.2 - Conclusive effect of QIO determinations on payment of claims.

If a utilization and quality control quality improvement organization (QIO) has assumed review responsibility, in accordance with part 466 of this chapter, for services furnished to Medicare beneficiaries, Medicare payment is not made for those services unless the conditions of subpart C of part 466 of this chapter are met.

authority: 42 U.S.C. 1302,1395w,1395hh,and

source: 54 FR 41734, Oct. 11, 1989, unless otherwise noted.

cite as: 42 CFR 411.2